Barry, 62, is under evaluation as a kidney donor to his wife Susan. At his first appointment, you measure his blood pressure at 155/95. Which one of the following is correct? A) You should tell Barry that he…
Hayley, 30, wishes to donate a kidney to her husband Rob. They have a 3 year-old child. Hayley has no known medical problems and is a non-smoker. Her BMI is 23 kg/m2, her blood pressure is 110/70 mmHg…
I want you to put yourself in the shoes of your average nephrologist, it seems frenetic when looked at from a birds eye view. A typical day begins with rounding on first shift dialysis patients, then on to…
Rajiv, 39, wants to donate a kidney to his sister-in-law, Shen. His brother, Shen’s husband, is healthy, but unfortunately not a good match for Shen. Rajiv has no past medical history, is a non-smoker and his BMI is…
1) The presence of markers of kidney damage for greater than 3 months in blood, urine, or on imaging a) e.g proteinuria, non-urological hematuria, polycystic kidney disease, horseshoe kidney, etc. or 2) The presence of a GFR of…
Educating patients with Autosomal Dominant Polycystic Kidney Disease (ADPKD) is unique, as patients typically witness the course of the disease in their affected family members. This is often a parent, but due to the complexities of life including…
I spend a lot of time discussing patients with renal disease and monoclonal gammopathies with my haematology colleagues, trying to figure out what is of ‘renal significance’ and ‘undetermined significance’. One of those discussions recently was around a…
“The best way to predict your future is to create it“. Abraham Lincoln Predicting the future is a tenuous concept and at face value is perhaps better suited to popular media and science fiction than medicine. We have…
This image was from Original Nate Hellman post in 2010 It’s Monday, I turn my pager on at 6:00am, and at 6:03am and again at 6:05am my pager promptly goes off. I recognize both of the numbers, it’s…
A patient presented with nephrotic range proteinuria and lung cancer, so we performed a routine kidney biopsy. During our pathology conference, we discussed a classic run-of-the mill case of membranous nephropathy secondary to malignancy. Our pathologist showed us…